Active NPI
Thomas Matthew Rogers, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Tulsa, OK
National Provider Identifier
1568525509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 150
- Practice address
- 2105 E 21St St
Tulsa, OK 74114-1409 - Phone
- (918) 747-4760
- NPI assigned
- Dec 19, 2006
- Last updated
- Oct 29, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5797 | OK | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 150 | OK | Primary |
Addresses
Primary practice location
2105 E 21St St
Tulsa, OK 74114-1409
Mailing address
2105 E 21St St
Tulsa, OK 74114-1409
Phone (918) 747-4760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 18, 2025 through Jun 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerry L Greer DDS PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Interoperability endpoints
- thomas.rogers@direct.stjohnhealthsystem.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Tulsa, OK
- NPI 1376725051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1568525509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 E 21ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741141409",
"telephone_number": "918-747-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E 21ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741141409",
"telephone_number": "918-747-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "THOMAS",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5797",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OK",
"license": "150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.